Insurance Verification Scheduler Jobs in Indiana

JOB RESPONSIBILITIES:

Schedules surgeries, arranges for appropriate surgical equipment to be available for specific procedures and coordinates this with the Surgery Department. Schedules pre-anesthesia testing and post-op appointments for patients. Ensures consent for surgical procedure has been signed and is on file prior to the procedure. Reschedules surgeries if issues are identified during pre-anesthesia testing time frame. Performs pre-determination of high tech surgical procedures such as bariatric surgery and plastic procedures. 

Provides pre and post-operative education and instructions including, but not limited to bowel prep instructions, in detail with the patient and patient’s family for both inpatient and outpatient procedures and ensures they have a clear understanding of these instructions. 

Assigns proper CPT codes for surgical procedures and clearly communicates this information with the prior authorization staff, Surgery Department and Insurance Verification at the hospital. Obtains prior authorization for the procedure. Assists with retro prior authorizations within 72 hours of procedure, if surgical procedure performed differs from the original request. Provides written and verbal communication to multiple affected JMH departments for coordination of care. 

Works to obtain medical clearance from primary care provider for underlying medical conditions with-in specified timeframes as dictated by JMH policy and arranges appointments for such clearance. Obtains cardiology clearance with patient’s cardiologist, if needed and/or schedules a cardiology appointment for additional testing. Gives clear instructions to patient regarding any medication holds prior to their surgical procedure including, but not limited to blood thinners and documents this information in the patient’s medical record.

Maintains, organizes and reviews patient reminder lists and contacts patients to schedule follow-up colonoscopies and upper endoscopies as requested by surgeon. Checks the multi-patient task list daily for any clinical tasks that need to be addressed. 

Assists physician in exam room with exams, dressing changes, suture/staple and drain removals and assists the physician with minor surgical procedures performed in the office setting. 

Properly cleans, sterilizes and prepares instruments in packs or individually in preparation for procedures. Maintains cleanliness of Autoclave and runs monthly testing to ensure proper functioning of the sterilizer.

Requests medical records from outside entities necessary for the surgeon to make an informed decision regarding the patient’s surgical care. Completes Family Medical Leave Act/Leave of Absence, Short-Term Disability and Long-Term Disability paperwork for patients who are required to be off work due to their surgical procedure and recovery time. 

Clearly communicates and continuously supports the Mission and Values of JMH.  

Conducts all activities in compliance with applicable laws, regulations, standards and hospital policies and procedures including Blood and Body Substance Precautions.

Performs other related duties as assigned by Practice Administrator.

EDUCATION, EXPERIENCE AND TRAINING:   

Requires: 1. Current Certification in Medical Assisting and three years of experience working in a physician practice in a clerical or clinical role; or 2. High school diploma or equivalent and five years of experience workings as a Medical Assistant. At least one year of experience in a surgical practice setting required. Current CMA (AAMA), RMA, NCMA or CCMA certification required. Current BLS or CPR for Healthcare Providers certification required. 

Johnson Memorial Health is a nationally-recognized network of physicians, services and healthcare resources based in Johnson County, Indiana. The centerpiece is Johnson Memorial Hospital, located in Franklin Indiana, just 20 minutes south of Indianapolis.

All qualified applicants will receive consideration for employment without regard to race, age, sex, color, religion, sexual orientation, gender identity, national origin, protected veteran status, disability, or other protected characteristic under applicable law.

SCHEDULE: Monday- Thursday 8am-430pm, Friday 8am-4pm